if you have diabetes, hypertension, cancer, or one of these medical problems, your medical costs are going to go up between 50% and 75%. if you treat depression, it allows the person to be an active player in the management of their health. cope with the depression goes away, you have to diagnose it and provide treatment. the data shows that a relatively small investment in the primary care setting is going to reduce total cost because people will be better able to take care of themselves. >> you mentioned the organizations, do you have an elaboration? dodge the element to apply would be the accountable expectations. that act will allow us to set some clear expectations for performance. what is expected in terms of improving the health care outcomes. the agreement between the provider system, we are beginning to target the key health care indicators on the behavioral health side that will work together to try to truly improve overall outcomes. >> there is a barrier of insurance coverage. in this area, there are very few in-network that the health providers. i got a look at that and w